Chippin’ In For A Cure: Golf Tournament


Belle Glade Country Club

Saturday, June 10, 2017

12:30 PM Registration / 2 PM Start

$75 per golf registrant (including dinner)

$30 per dinner only


Please submit a new form for each Registrant

Your Name *
Your Name
Address *
Phone Number *
Phone Number
Registering for *
Please let us know whether or not you will be golfing. See the end of the form for payment instructions.
Golf Group
Check here if you're registering a group of golfers. If selected, please indicate the name of the primary registrant below
After submitting this form, please mail a check for the appropriate amount to the address below. Make checks payable to: The Foundation to Fight H-ABC

Bob Ziarko
3615 Enterprise Drive
The Villages, FL 32163


Questions? Please contact Bob Ziarko at or by phone at 352-561-4953